Healthcare Provider Details

I. General information

NPI: 1922903020
Provider Name (Legal Business Name): CARENT SEPULVEDA SANCHEZ HALASAN MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 E LAKE MEAD PKWY STE 307
HENDERSON NV
89015-6444
US

IV. Provider business mailing address

98 E LAKE MEAD PKWY STE 307
HENDERSON NV
89015-6444
US

V. Phone/Fax

Practice location:
  • Phone: 702-483-2969
  • Fax: 702-761-2339
Mailing address:
  • Phone: 702-483-2969
  • Fax: 702-761-2339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number855649
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: